GENERAL CONDITION
Machine Starts and is OperableYes
Tires are Aired Up and DrivableYes
Body
Frame
General
GENERAL APPEARANCE
Cleaning RequiredYes
Bumper
Cab or Canopy
Counterweight
Crankcase Guard / Battery Box
Decals
Differential Supports
Eng. Enclose Hood / Stack
Fenders
Fiberglass
Front Frame
Fuel Tank
Grab Irons
Guards / Screens
Paint
Plastic
Radiator Grill & Shroud
Rear Frame
Sheet Metal
Steps / Ladder
SAFETY ITEMS
Back Up Alarm FunctioningYes
Brakes FunctioningYes
Safety Decals In PlaceYes
Safety Decals LegibleYes
Brake Hold
Glass / Mirrors
Horn
Parking Brake - SAFETY ITEMS
Seat Belt - SAFETY ITEMS
Secondary Exit
GAUGES, OPERATOR STATION, CONSOLE
Back Up AlarmYes
Current O&MMYes
Fuel Level - GAUGES, OPERATOR STATION, CONSOLE100
Air Conditioner
Dash Console
Door Latches
Door Latches & Hinges
Doors
Floor Boards
Floor Mats
Gauges
Glass/Mirrors
Heater
Interior Lights
Meter
Seat Belt - GAUGES, OPERATOR STATION, CONSOLE
Seat Cushion / Arm Rest
Switches
Windows
Windshield Wipers
ENGINE
Blow ByNo
Engine Oil Level FullYes
Fluid Levels OK?Yes
Fuel LeaksNo
KnockingNo
Oil LeaksNo
Water in OilNo
Anti-Freeze ColorRed
Fuel Level - ENGINE100
Air Cleaners
Belts / Pulleys - ENGINE
Engine Supports
Exhaust / Muffler
Fuel Injection System
Fuel System
Operating Condition - ENGINE
COOLING SYSTEM
Current Hours on Radiator6
Leaks - COOLING SYSTEMNo
Leaks - COOLING SYSTEM 1No
Oil in Anti-FreezeNo
Belts / Pulleys - COOLING SYSTEM
Coolers
Hoses
Hoses & Tubes - COOLING SYSTEM
Radiator
ELECTRICAL, STARTING AND CHARGING SYSTEM
Alternator
Batteries / Cables
Lighting
Starter
Wiring
TRANSMISSION
Leaks - TRANSMISSIONNo
Transmission - NoisyNo
Case
Drive Shaft
Lines / Fittings - TRANSMISSION
Operating Condition - TRANSMISSION
Seals
Transmission
Transmission - Forward Shifts
Transmission - Reverse Shifts
STEERING
Articulate P & B
Lines / Fittings - STEERING
Pumps
Steering Cylinder
Steering Linkage
Steering Valves / Pumps
Steering Wheel Tilt / Extend
Valves
BRAKE
Holds In ParkYes
Leaks - BRAKENo
Brake Drums / Rotors
Brake Linkage
Lines
Lines / Tubes
Parking Brake - BRAKE
Pedal
AXLE ASSEMBLIES
Front Differential Mag Plug CheckedYes
Left Front Final Mag Plug CheckedYes
Left Rear Final Mag Plug CheckedYes
Rear Differential Mag Plug CheckedYes
Right Front Final Mag Plug CheckedYes
Right Rear Final Mag Plug CheckedYes
Front Axle Housing
Rear Axle Housing
Wheel Lugs & Rims - AXLE ASSEMBLIES
HYDRAULICS
Leaks - HYDRAULICSNo
Attachment Cylinder
Bucket Cylinder
Hose Lines
Hoses & Tubes - HYDRAULICS
Lift Cylinders
Overall Operating Condition
Pumps & Valves
Tank
Tilt Cylinder
ATTACHMENTS / WORK TOOLS
Angle BroomNo
Asphalt CutterNo
BladeNo
ForksNo
GrappleNo
Hydraulic SweeperNo
Lift BoomNo
Material Handling ArmNo
Vibratory Compactor PlateNo
BUCKET
Bucket Size1.2 CYD
Loader Frame
Quick Coupler
FINAL DRIVES
Leaks - FINAL DRIVESNo
Differentials
Front Axle
Front Final Drives
Oscillation
Rear Axle
Rear Final Drives
Wheel Lugs & Rims - FINAL DRIVES
TIRES
Average Life Remaining - TIRES90